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Endodontic treatment of maxillary canines requires precision due to their long roots and potential anatomical variations. This case demonstrates a structured and efficient approach to root canal therapy performed using the Rising Kit by Fanta Dental. Pre-operative radiographic evaluation confirmed a single-rooted maxillary canine with a patent canal and no significant curvature complications. The treatment […]

A challenging referral a previously initiated therapy complicated by a separated file in the mesial root and a multiplanar curvature.

The mandibular first molar usually exhibits two roots and three canals; however, anatomical variations are frequently encountered. According to Vertucci’s classification, the distal root most commonly exhibits Type I (a single canal) but may also present complex configurations such as Type II, IV, or VIII when multiple canals exist. The incidence of a third distal […]

A paradigm shift is happening in treating immature, necrotic permanent teeth - from traditional apexification to regenerative endodontic procedures (REPs). While conventional root canal therapy yields high success in mature teeth, immature teeth pose greater challenges. REPs, leveraging tissue engineering and the regenerative potential of Hertwig’s Epithelial Root Sheath (HERS) and Stem Cells of the Apical Papilla (SCAP), offer a biological approach that promotes continued root development and functional restoration. This case report presents a successful REP in an immature necrotic tooth, with clinical and radiographic outcomes over 30 months.

The main goal of endodontic treatment is to prevent and treatment of apical peridontitis , through proper shaping ,cleaning , obturation of the root canal system .  Negotiation of the root canal system , patency , and estableshment of repeatable glide path , is the most chalenging steps in RCT , and on it , […]

Selective root canal re-treatment is a novel approach which aim at treating the selected root/s showing apical pathology.
Thanks to the use of CBCT it is now possible to evaluate with high accuracy the status of a root filled tooth and plan the re-treatment strategy accordingly.
This approach has clear advantages in terms of preservation of tooth structure, reduction of iatrogenic errors and reduced operating time and costs.

The primary goal of root canal shaping is to create a continuously tapered, funnel-shaped canal while preserving the original anatomy. This is significantly harder to achieve in a curved canal without altering its natural shape.  As a file is pushed through a curve, it naturally wants to follow the path of least resistance, which is […]

Whenever root canal anatomy is discussed, variability is the rule!!
This requires careful attention of the clinician to anticipate such variation

The maxillary first molar is among the most anatomically complex teeth in the human dentition. Its intricate root canal system, particularly the variability of the mesiobuccal root, poses significant challenges for endodontic treatment. This review consolidates current literature on the external and internal morphology of the maxillary first molar, emphasizing the prevalence of additional canals, the clinical relevance of advanced diagnostic tools such as cone-beam computed tomography (CBCT) and micro-computed tomography (micro-CT), and the implications for endodontic therapy. Special attention is given to the second mesiobuccal canal (MB2), its detection, and its role in endodontic success.

Complex anatomies in premolars pose significant challenges in endodontic treatment. Their relatively small size coupled with variations such as additional canals require specialized techniques and instruments. Effective management of these complexities demands a thorough understanding of canal anatomy and mastery of advanced instrumentation and obturation techniques. This article covers strategies for navigating one such complex anatomy, ensuring successful treatment outcome and minimizing complications.

Endodontics, the branch of dentistry that deals with the treatment of the dental pulp and tissues surrounding the roots of a tooth, has advanced significantly in recent years. A critical aspect of this field is the pre-endodontic build-up, a procedure often necessary to ensure the success of root canal treatment. While it might seem like a routine step, its importance cannot be overstated. This article delves into the significance of pre-endodontic build-up, its benefits, and why it should be an integral part of every endodontic procedure.

Root perforation is a complication of Endodontic treatment characterized by the communication between the root canal space with the periodontal tissues. These accidents usually occur due to iatrogenic causes including lack of knowledge of dental anatomy, wrong endodontic access, calcification of the coronary and cervical thirds, failure in radiographic analysis. Among the factors that affect root perforation prognosis are the location (cervical, middle and apical thirds), the extent, presence or absence of periodontal pockets, the time between perforation and treatment, biological compatibility and sealing ability of the filling material.